|
Skull X-ray (1 to 3 views)
|
$468.00 |
$468.00 |
$468.00 |
$295.10
|
|
Skull X-ray (complete)
|
$659.00 |
$659.00 |
$659.00 |
$424.80
|
|
Skyla, 13.5 mg
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,643.47
|
|
Sleep Study (Polysomnography)
|
$9,509.00 |
$9,509.00 |
$9,509.00 |
$3,734.50
|
|
Sleep study unattended
|
$2,220.00 |
$2,220.00 |
$2,220.00 |
$594.00
|
|
Sling suprapubic suburetheral
|
$10,044.10 |
$10,044.10 |
$10,044.10 |
$9,679.96
|
|
Slp eval for nonspeech dev ea addl 30 mins
|
$288.00 |
$288.00 |
$288.00 |
$139.44
|
|
Slp eval non-spch gen comm dev
|
$533.00 |
$533.00 |
$533.00 |
$285.09
|
|
Slp pure tone screening
|
$261.00 |
$261.00 |
$261.00 |
$64.50
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$561.60
|
|
Small bowel endoscopy
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$2,596.41
|
|
Small bowel endoscopy
|
$5,544.00 |
$5,544.00 |
$5,544.00 |
$2,244.82
|
|
Small bowel endoscopy
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$2,518.10
|
|
Small bowel endoscopy
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$2,638.57
|
|
Small bowel endoscopy
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$3,265.60
|
|
Small bowel endoscopy
|
$4,894.00 |
$4,894.00 |
$4,894.00 |
$2,088.00
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$3,153.00 |
$3,153.00 |
$3,153.00 |
$2,590.33
|
|
Small bowel endoscopy 44365
|
$3,153.00 |
$3,153.00 |
$3,153.00 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$5,849.00 |
$5,849.00 |
$5,849.00 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$4,894.00 |
$4,894.00 |
$4,894.00 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$4,894.00 |
$4,894.00 |
$4,894.00 |
$2,406.40
|
|
Small bowel endoscopy/stent 44370
|
$7,331.00 |
$7,331.00 |
$7,331.00 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$115.00 |
$115.00 |
$115.00 |
$64.00
|
|
Smear gram stain
|
$63.00 |
$63.00 |
$63.00 |
$55.35
|
|
Smear nasal eosinophil
|
$160.00 |
$160.00 |
$160.00 |
$45.83
|
|
Smear special stain inclusion bodies/parasites
|
$132.00 |
$132.00 |
$132.00 |
$73.15
|
|
Smear wet mount
|
$95.00 |
$95.00 |
$95.00 |
$67.55
|
|
Sodium 24 hour urine
|
$92.00 |
$92.00 |
$92.00 |
$48.68
|
|
Sodium chloride 0.9 % intravenous solution
|
$429.51 |
$429.51 |
$429.51 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$70.04 |
$70.04 |
$70.04 |
$37.64
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$27.52 |
$27.52 |
$27.52 |
$80.73
|
|
Sodium serum/plasma/whole blood
|
$122.00 |
$122.00 |
$122.00 |
$46.00
|
|
Somatosensory testing
|
$668.00 |
$668.00 |
$668.00 |
$816.00
|
|
Somatropin injection
|
$330.29 |
$330.29 |
$330.29 |
$2,111.40
|
|
Special physics consult
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$725.00
|
|
Special radiation dosimetry
|
$722.00 |
$722.00 |
$722.00 |
$392.73
|
|
Special radiation treatment
|
$4,722.00 |
$4,722.00 |
$4,722.00 |
$2,052.00
|
|
Special teletx port plan
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,100.00
|
|
Specific gravity body fluid
|
$71.00 |
$71.00 |
$71.00 |
$22.00
|
|
Specimen fat stain
|
$144.00 |
$144.00 |
$144.00 |
$35.10
|
|
Speech and Language Evaluation (comprehensive)
|
$408.00 |
$408.00 |
$408.00 |
$385.00
|
|
Speech audiometry complete
|
$336.00 |
$336.00 |
$336.00 |
$109.20
|
|
Speech recep thresh
|
$271.00 |
$271.00 |
$271.00 |
$82.88
|
|
Speech Therapy Session (one-on-one)
|
$169.00 |
$169.00 |
$169.00 |
$248.84
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$4,752.00 |
$4,752.00 |
$4,752.00 |
$1,474.00
|
|
Spine X-ray (single view, one level)
|
$312.00 |
$312.00 |
$312.00 |
$251.40
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$112.20 |
$112.20 |
$112.20 |
$392.09
|
|
Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 %
|
$8,978.00 |
$8,978.00 |
$8,978.00 |
$4,687.20
|
|
Split blood or products
|
$520.00 |
$520.00 |
$520.00 |
$129.50
|
|
Sputum specimen collection
|
$450.00 |
$450.00 |
$450.00 |
$180.00
|
|
Srs cranial lesion simple
|
$3,598.00 |
$3,598.00 |
$3,598.00 |
$3,145.05
|
|
Srs cran les complex addl
|
$75.00 |
$75.00 |
$75.00 |
$711.20
|
|
Srs linear based
|
$66,499.00 |
$66,499.00 |
$66,499.00 |
$14,124.25
|
|
Srs multisource
|
$98,785.00 |
$98,785.00 |
$98,785.00 |
$35,192.81
|
|
St analysis behavior qualitative voice/resonance
|
$206.00 |
$206.00 |
$206.00 |
$297.68
|
|
St cognitve performance testing healthcare professional each hour
|
$270.00 |
$270.00 |
$270.00 |
$286.00
|
|
Stem cells total count
|
$361.00 |
$361.00 |
$361.00 |
$184.00
|
|
Stenger test pure tone
|
$239.00 |
$239.00 |
$239.00 |
$77.84
|
|
Stent/athrectomy/fem/pop/unilat 37227
|
$13,302.00 |
$13,302.00 |
$13,302.00 |
$21,626.50
|
|
Stent axios caut enh 15x10mm electrocaut
|
$92,400.00 |
$92,400.00 |
$92,400.00 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$3,862.10 |
$3,862.10 |
$3,862.10 |
$2,649.79
|
|
Stent bili rx wallflx 10x80 uncvr
|
$23,261.70 |
$23,261.70 |
$23,261.70 |
$20,962.50
|
|
Stent bronch dumon sil 10x40mm
|
$3,862.10 |
$3,862.10 |
$3,862.10 |
$4,631.82
|
|
Stent iliac/open or perc/uni/init 37221
|
$8,687.00 |
$8,687.00 |
$8,687.00 |
$14,356.50
|
|
Stent iliac/open/perc/ea ad/ipsila 37223
|
$8,048.00 |
$8,048.00 |
$8,048.00 |
$8,985.00
|
|
Stent/tib/peroneal/unilat/initial 37230
|
$10,950.00 |
$10,950.00 |
$10,950.00 |
$17,271.50
|
|
St evaluate speech sound production
|
$242.00 |
$242.00 |
$242.00 |
$293.00
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$597.00 |
$597.00 |
$597.00 |
$400.00
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$2,019.00 |
$2,019.00 |
$2,019.00 |
$1,345.40
|
|
Stot/tot hysterectomy after cesaren delivery 59525
|
$19,458.00 |
$19,458.00 |
$19,458.00 |
$2,723.50
|
|
Strep b dna amp probe
|
$178.00 |
$178.00 |
$178.00 |
$124.15
|
|
Stress test pulmonary
|
$652.00 |
$652.00 |
$652.00 |
$324.00
|
|
Stress tte complete
|
$4,390.00 |
$4,390.00 |
$4,390.00 |
$1,900.96
|
|
Str markers specimen anal
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$751.50
|
|
Subq njx filling matrl 1cc/<
|
$604.00 |
$604.00 |
$604.00 |
$235.13
|
|
Subtalar arthro w/deb
|
$13,158.00 |
$13,158.00 |
$13,158.00 |
$3,839.54
|
|
Subtalar arthro w/fusion
|
$13,158.00 |
$13,158.00 |
$13,158.00 |
$13,158.00
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$85.33 |
$85.33 |
$85.33 |
$54.80
|
|
Suction lipectomy lwr extrem
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$5,661.00
|
|
Suction lipectomy trunk
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,385.50
|
|
Suction lipectomy upr extrem
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,544.00
|
|
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution
|
$2,995,240.00 |
$2,995,240.00 |
$2,995,240.00 |
$7,345.98
|
|
Sulfonylurea screen qn-sendout
|
$420.00 |
$420.00 |
$420.00 |
$160.05
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$175.31 |
$175.31 |
$175.31 |
$126.63
|
|
Surg dx exam anorectal
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,480.50
|
|
Surgical pathology level 1 gross examination only
|
$90.00 |
$90.00 |
$90.00 |
$80.60
|
|
Surgical pathology level 2 gross & microscopic examination
|
$215.00 |
$215.00 |
$215.00 |
$141.94
|
|
Surgical pathology level 3 gross & microscopic examination
|
$261.00 |
$261.00 |
$261.00 |
$181.31
|
|
Surgical pathology level 4 gross & microscopic examination
|
$453.00 |
$453.00 |
$453.00 |
$243.10
|
|
Surgical pathology level 5 gross & microscopic examination
|
$661.00 |
$661.00 |
$661.00 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$1,467.00 |
$1,467.00 |
$1,467.00 |
$720.75
|
|
Surg tx anal fistula 2nd stage 46285
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$3,245.23
|
|
Susceptibility agar dilution per agent
|
$95.00 |
$95.00 |
$95.00 |
$45.00
|
|
Susceptibility enzyme detection per enzyme
|
$95.00 |
$95.00 |
$95.00 |
$35.70
|
|
Susceptibility mic per plate
|
$176.00 |
$176.00 |
$176.00 |
$104.80
|
|
Suscept studies macrobroth dilution ea
|
$54.00 |
$54.00 |
$54.00 |
$59.28
|
|
Svc venogram s&i
|
$6,583.00 |
$6,583.00 |
$6,583.00 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$597.00 |
$597.00 |
$597.00 |
$316.80
|
